Why does pregnant women have high sugar levels?
During pregnancy, a woman's body changes its functioning, which naturally affects blood sugar levels.
So, normally it is controlled by the hormone insulin, secreted by the pancreas. Under the influence of the hormonal component, glucose from food begins to pass into the cells of the human body, and its levels in the blood decrease. Pregnancy hormones released by the placenta have the opposite effect of insulin, namely increasing glucose levels. Explaining why sugar levels rise, experts point out that:
- the load on the internal organ increases, and in certain cases the gland does not cope with its task;
- as a result, the blood sugar level begins to exceed the norm;
- excessive amounts of glucose destabilize metabolic processes in both the mother and her child;
- glucose, in addition, enters through the placenta into the bloodstream of the fetus, which leads to an increase in the load on its pancreas.
The fetal pancreas has to work with double load and secrete a larger amount of the hormonal component. An increase in sugar is directly related not only to changes in the functioning of a woman’s body during pregnancy, but also to belonging to certain risk groups.
This list includes those female representatives who were able to get pregnant for the first time after 30, are overweight, and suffer from various pathologies. In addition, the risk group includes women with a hereditary predisposition to gestational diabetes and the presence of this disease during previous pregnancies.
What a woman should know about diabetes and pregnancy
Comments:
Rating: 56
Women with diabetes can give birth to healthy children. Modern control methods, which can be used independently, make it possible to monitor the body’s condition and regulate blood sugar.
Diabetes mellitus and pregnancy are an unfavorable condition for many women, in which the body experiences significant stress.
This can have a negative impact on the health of the expectant mother and her baby. There is a threat of miscarriage, fetal death in the long term, or the birth of a baby with congenital diabetes and other defects.
The development of all pathologies is affected by elevated blood sugar levels.
Bearing a fetus is a special state of the body when the endocrine system bears an increased load. The body of pregnant women does not always cope with the tasks assigned to it.
Hyperglycemia that occurs during pregnancy often disappears after the baby is born.
But its appearance indicates that the body cannot cope with increased loads or the disease will develop during the onset of menopause.
Diabetes in pregnant women requires medical supervision of the fetus. Monitoring the development of the fetus using ultrasound allows you to notice pathological changes in time and perform an abortion for medical reasons. If there is no such need, the woman calmly carries the child, observing all medical prescriptions.
The effect of sugar on the body of a pregnant woman and the embryo
Pregnancy will only be successful if it is planned. A woman should carry a device with her to regularly monitor her sugar levels. Before starting pregnancy, you need to undergo treatment, wait for remission and then, keeping sugar under control, begin to conceive.
To recognize the onset of pregnancy with diabetes, you can use test strips or donate blood for the presence of hCG. It is very important to diagnose conception early because the fetus is fully formed in the first eight weeks.
At this time, the embryo develops:
If in the early stages the expectant mother suffered from repeated increases in glucose levels, this inevitably affects the intrauterine development of the fetus.
Diabetes during pregnancy affects the pathological development of all organs. Disruption of biochemical processes in the developing organism of the embryo leads to congenital diseases.
The onset of an unplanned pregnancy in diabetes mellitus against the background of elevated sugar levels causes an increase in diabetic complications in a woman. There is a risk of developing coma. Therefore, all diabetics need to monitor ovulation very carefully and take precautions.
All women should plan their pregnancy and prepare their bodies for this difficult long-term condition. The preparatory stage includes consultations with doctors, tests, and diagnostics. All these events are carried out over three months.
Women suffering from diabetes are also prepared for pregnancy. They may need more time to achieve complete normalization of blood sugar and become pregnant during remission. Before conception, a woman needs to consult with specialists to take advantage of their recommendations.
When the pathological manifestations are eliminated and the family agrees to support the woman during pregnancy, the desire to give birth to a baby is discussed in the gynecologist’s office.
Ways to deal with possible complications
If pregnant women have diabetes mellitus, the woman’s health condition is monitored by specialists. For this period of time, it is recommended to find very good specialists who have experience working with such patients to manage pregnancy.
The 1st trimester of pregnancy, which runs from weeks 1 to 12, is accompanied by constant monitoring of blood sugar. Stable glucometer readings allow us to hope that the vital organs of the fetus will be formed correctly.
Acetone in the urine can appear even with a slight increase in glucose, so the device will need to be used 3-4 times a day.
In the initial stage of pregnancy, a woman’s body is rebuilt and begins to work in a new mode. In diabetes mellitus, sensitivity to insulin increases at this time. The endocrinologist must prescribe the minimum dose of the drug.
Sugar-lowering pills can seriously harm the development of the fetus. For type 2 diabetes after pregnancy, your doctor may recommend switching to insulin injections.
This is a drug that is safe for fetal development. It is prescribed for a temporary period until the end of the lactation period.
As soon as a woman stops breastfeeding, she can switch to tablet forms.
The manifestation of toxicosis during this period during pregnancy diabetes may be the cause of the appearance of acetone. Only weekly consultations, tests and follow-up ultrasound examinations will help prevent the development of fetal pathology.
Features of the second trimester
During the second trimester, from 13 to 27 weeks, diabetes mellitus during pregnancy is the least worrying for a woman.
The danger is that during this period the fetus’s pancreas begins to function.
An increase in sugar in the mother can cause her to increase the production of her own insulin, which leads to the development of diabetic fetopathy. This disease causes growth and development problems.
The newborn will suffer from hypoglycemia due to the interruption of sugar from the mother's blood. Therefore, control over sugar is not canceled.
After the onset of the 20th week, the required dose of insulin is clarified. At this time, the placenta begins to secrete contrainsular hormones.
They are necessary for the development of the child, but have a destructive effect on the administered insulin. Many women double their doses during pregnancy, doing this on the recommendation of a doctor.
Increasing the dose on your own can lead to complications. This should be entrusted to an endocrinologist, and you need to visit him regularly.
A woman undergoes examination to detect fetal pathology. At the same time, vision may begin to decline. Therefore, you need to consult an ophthalmologist.
The third trimester and its features
The third trimester from 28 to 40 weeks is the most difficult. At this time, a control ultrasound is prescribed a week later. During this period, the doctor increases the number of bread units when calculating the insulin dose.
From the 36th week, the woman is hospitalized in the department of pathology of pregnant women. This is done to prevent complications during childbirth. Doctors choose a more suitable birth method. With a normal pregnancy, childbirth takes place naturally. Caesarean section is recommended:
Increased sugar levels in women during pregnancy
Sometimes diabetes mellitus in pregnant women appears only during pregnancy. This is facilitated by hormonal disorders occurring in a woman’s body. They can contribute to the development of true disease. The reason for this is carbohydrate metabolism disorders.
This is a serious problem that can lead to complications and fatal risks for both the expectant mother and the baby. If an increase in blood sugar is detected, a woman must strictly follow the doctor’s instructions. A mild form of the disease is normalized by diet.
Moderate and severe diabetes in pregnant women leads to vascular lesions. They may develop:
- arterial hypertension;
- ischemic myocardial disease;
- trophic ulcers of the legs.
Pregnancy with diabetes can lead to retinal damage. The presence of diabetes mellitus in pregnant women results in a disease such as nephropathy. This is the name for kidney damage - diabetic nephroangiosclerosis.
In half of women, the disease is temporary and disappears after childbirth. Symptoms of the disease return with a new pregnancy.
Signs of high sugar
As the disease progresses, appetite increases. The peculiarity of the disease is that the weight does not increase, but begins to decrease sharply. The patient is accompanied by a feeling of general weakness. She begins to experience itching in her genitals.
A feeling of intense thirst develops, which is accompanied by dry mouth. Such signs may appear at 10 weeks of pregnancy. If such symptoms appear, you should urgently contact a leading gynecologist or endocrinologist.
Diabetes and pregnancy are poorly compatible conditions. Often, an increase in sugar and violation of the doctor’s requirements leads to fetal death or premature termination of pregnancy. Sick pregnant women suffer from late toxicosis and polyhydramnios. Inflammatory processes may develop in the genitourinary system.
Pregnancy can end happily only with timely hospitalization, where there is good control and maintenance of blood glucose in a normal state. Bearing a healthy baby if you have diabetes during pregnancy is possible only with strict sugar control and following doctors' recommendations.
Cause of hyperglycemia
The development of gestational diabetes is indicated when a pregnant woman experiences a constant increase in the normal level of glucose in the blood (hyperglycemia) and the appearance of sugar in the urine (glucosuria). Moreover, a single positive test with subsequent negative ones cannot indicate pathology, but is a variant of the physiological norm.
Why is this happening?
The pancreas is responsible for producing the hormone insulin. During pregnancy, the load on her increases.
Unable to cope with the load, the gland does not have time to provide the body with the necessary amount of insulin, which leads to an increase in glucose levels above the maximum permissible level.
The placenta secretes a hormone that has the opposite effect of insulin, increasing blood glucose. This also becomes a factor for the development of pathology.
Why is hyperglycemia dangerous for a woman and fetus?
High blood sugar during pregnancy is dangerous not only for the mother in labor, but also for the unborn child. If the expectant mother had a latent or obvious disease before pregnancy, she may develop complications such as damage to the kidneys, fundus vessels and heart muscle.
The presented conditions can steadily progress during pregnancy. For example, the influence of damage to the vessels of the fundus of the eye is fraught with retinal detachment and partial loss of vision, and damage to the heart muscle can lead to the development of cardiac failure.
High sugar during pregnancy
Normal blood sugar levels in pregnant women on an empty stomach should be from 3.3 to 5.5 mmol. In the case when a woman is identified as having a prediabetic condition (impaired glucose tolerance), the blood test will range from 5.5 to 7.1 mmol. The presence of diabetes mellitus will be 100% indicated by an amount of sugar ranging from 7.1 to 11.1 mmol.
It will be possible to reduce blood sugar in a pregnant woman only if there is a complex effect on the body. This means changing your diet and following a diet, but if you can’t adjust your sugar levels through proper nutrition, insulin therapy is prescribed. The dosage of the presented drugs is prescribed by a specialist while in the hospital.
In addition to the use of sugar-lowering formulations, you will need to constantly monitor your glucose levels. At home, pregnant women can and should use a glucometer for this. In addition, exercise is strongly recommended if there are no contraindications.
It is important that these are moderate loads, which help normalize tone, prevent weight gain and maintain optimal well-being. The basics of this lifestyle are frequent walks in the fresh air, swimming and water exercises, and avoidance of stress on the abdominal area. It is strongly recommended to avoid horse riding, skating, cycling and other traumatic sports.
Exercises for pregnant women should be done according to your doctor’s recommendations. When talking about how to lower blood sugar in pregnant women, pay attention to the fact that:
- any physical activity should be carried out provided that the pregnant woman feels normal;
- pain in the back or abdomen is a signal to stop exercising. This is also a reason to consult a specialist who will clarify whether they can continue;
- Pregnant women using insulin are advised to remember that any physical activity can significantly reduce blood sugar levels.
In order to exclude hypoglycemia, it is recommended to monitor glucose levels before and after exercise. If two hours have passed since the last session of eating, then it is strongly recommended to have a snack before performing any physical work. The nutrition of a pregnant woman deserves special attention, as it is the answer to the question of how to lower blood sugar.
The amount of glucose in the blood is measured in moles per liter. For a pregnant woman, the sugar norm is 5.8 mmol/liter if the sample was taken from a vein and from 4.0 to 6.1 mmol/l if the test was taken from a finger. A slight increase in glucose is allowed, as this could occur during hormonal changes in the body, due to stress or overwork.
If a repeated analysis of glycated hemoglobin shows a high concentration of hormones, then this gives the doctor grounds to diagnose the pregnant woman with gestational diabetes.
This pathology is caused by the production of a large amount of hormones by the pregnant woman’s body. This leads to blocking the production of insulin, which breaks down sugar. A lack of the hormone leads to an excess of glucose and, as a consequence, to a lack of energy necessary for the growth of the fetus and the functioning of the mother’s body. Sugar does not enter the cells and is not broken down, as a result of which a woman’s body experiences energy starvation during pregnancy.
Blood test for sugar during pregnancy
Most doctors believe that a glucose level of 6.9 during pregnancy is not a cause for concern - in this situation one can hope for normalization after childbirth. However, if sugar is elevated from 7.0 mmol/l or more, then a diagnosis of “manifest diabetes” is made. This means that the woman will remain ill after the birth of the child, and treatment will need to be continued.
If a woman has high sugar while carrying a baby, then, according to medical statistics, spontaneous abortions occur in every third case. The reason for this is the rapid aging of the placenta, the vessels of which are damaged due to excess glucose. As a result of this phenomenon, the fetus is supplied with nutrients and oxygen insufficiently.
The negative tendency of the influence of diabetes is manifested in a high risk of late toxicosis, which is characterized by edema, excess weight, fetal hypoxia, and increased blood pressure. Women with high sugar levels often develop:
- polyhydramnios;
- umbilical cord twisting;
- visual impairment;
- retinal disinsertion;
- infectious diseases;
- heart failure.
Consequences for the child
When the mother's blood glucose level is elevated, the fetus develops damage called diabetic fetopathy. The condition includes the large size of the baby, when the child already in the second trimester of pregnancy is ahead in weight according to ultrasound data. As a rule, at the time of birth his weight exceeds 4 kg. Such body weight can provoke birth trauma.
Treatment of diabetes in expectant mothers should include four areas:
- Repeated self-monitoring of glycemia.
- Insulin therapy.
- Diet.
- Dosed (taking into account the physical fitness and health status of the woman) physical activity.
In addition, a woman should regularly visit a gynecologist and endocrinologist, take tests (blood sugar, glycated hemoglobin and other tests if necessary), undergo an ultrasound and CT scan of the fetus.
Treatment of diabetes in pregnant women is aimed at maintaining acceptable sugar levels, regardless of meal times.
How to lower blood glucose during pregnancy:
- give up junk food and switch to a healthy diet;
- eat at least 5 times a day to avoid sugar spikes;
- give preference to low-calorie foods;
- eat sweets, but in minimal doses;
- Maintain a balance of healthy foods and do not overeat.
Carbohydrates are the basis of nutrition for pregnant women with high sugar levels. They are divided into simple and complex. The consumption of simple carbohydrates should be kept to a minimum, because... they contain fructose and glucose, which increase blood sugar. This includes beekeeping products and almost all types of fruits.
Complex carbohydrates are essential for your daily diet. Once in the body, they slow down the process of increasing blood sugar. Meals must include dishes with a sufficient content of complex carbohydrates.
For normal well-being, the body needs proteins, which are found in many foods. If you have high sugar levels, special attention should be paid to dairy products with minimal fat content. It is recommended to eat fats of vegetable origin (up to 30 g per day). In meat and fish, give preference to low-fat varieties, minimizing the intake of animal fat into the body.
A diet for high blood sugar in pregnant women should be designed to minimize the consumption of simple carbohydrates, with the following BJU ratio:
- complex carbohydrates – 50% of all food;
- proteins and fats – the remaining 50%.
How to reduce sugar
The main task of a pregnant woman with gestational diabetes is to maintain normal blood sugar. This requires regular examination and exclusion from the diet of foods with a high glycemic index. Daily walks in the fresh air and physical activity are required. If such measures do not help, then the doctor prescribes therapy that lowers sugar. During pregnancy, only drugs containing the hormone insulin in the form of injections are suitable. The frequency of administration and dosage is determined by the endocrinologist in each specific case.
- Sepsis - what is it? Symptoms, development and treatment of sepsis in children and adults
- Types of lozenges for sore throat
- Myalgia - what it is and how to treat it with medications. Causes and symptoms of muscle myalgia in children and adults
Diet
The main suppliers of glucose are easily digestible carbohydrates, so a diet for high sugar during pregnancy should consist of limiting them. If you remove them from the menu, high glucose levels will not be observed during pregnancy. Food should be rich in vitamins and low in calories. Following a diet is an excellent opportunity not only to reduce sugar, but also to lose excess weight and improve metabolism.
You need to eat regularly, in small portions, 5-7 times a day. When composing a diet, it is necessary to pay attention to the concomitant diseases of the pregnant woman and her daily energy consumption. Basic rules of diet for high blood glucose levels:
- do not overeat;
- do not overeat at night;
- do not drink alcohol;
- do not use sweeteners;
- Instead of sweet dishes, eat dried fruits.
Prohibited foods for hyperglycemia:
- baked goods;
- confectionery;
- ice cream, chocolate;
- jam, preserves, sugar;
- animal fats;
- spicy seasonings;
- marinades, spices, smoking;
- raisins, dried apricots, figs, dates, prunes;
- fruits high in simple protein: avocado, banana and others.
Sample menu for one day:
- breakfast: oatmeal with 1 tsp. honey and half an apple, green tea with milk;
- lunch: omelet with 1 egg, tomato and cucumber salad, a piece of rye bread;
- lunch: steamed fish, buckwheat porridge, grated carrot salad, orange;
- afternoon snack: cottage cheese casserole, cranberry juice;
- dinner: a glass of low-fat kefir, a piece of whole grain bread.
Foods that reduce sugar
Cereals will help saturate the body with vitamins and lower blood sugar: buckwheat, oatmeal, corn. Millet porridge has a lipotropic effect, which helps to lose excess weight during pregnancy. Thanks to its frequent use, insulin production is normalized. Wheat sprouts are considered one of the most effective foods for diabetes. They act as a cleansing, restorative and restorative agent.
Mixed fermentation dairy products are beneficial. During pregnancy, it is recommended to consume fermented milk products with a low fat content. Ryazhenka, cottage cheese, yogurt, kefir are easily digestible and normalize the intestinal microflora. The best dessert for diabetes is fermented milk products with added fruit. Sea fish and seafood quickly reduce sugar. Among the vegetables, it is recommended to lean on:
- eggplant;
- tomatoes;
- cucumbers;
- Jerusalem artichoke;
- cauliflower;
- broccoli;
- pumpkin;
- greenery;
- bell pepper;
- zucchini.
Physical exercise
If there is an increase in blood sugar during pregnancy, then aerobic exercise will help normalize glucose levels. This is due to the rapid saturation of the body's cells with oxygen during physical activity. Aerobics during pregnancy speeds up metabolism, reduces the manifestations of early and late toxicosis, and strengthens the woman’s immunity. Before starting any sport, you should always consult your doctor. It must be remembered that if sugar is elevated during pregnancy, you can exercise daily, but with low intensity.
Each workout should be moderate and not end in shortness of breath. During pregnancy, you should not make strong back bends, sudden movements, jumping, stretching or swinging your legs. Sports recommended for high blood sugar in a pregnant woman:
- Swimming. While in the water, all muscle groups are gently trained, the load on the spine is reduced, and overall well-being improves.
- Pilates. Improves blood supply to the placenta and fetus, strengthens the muscles of the expectant mother in the pelvic area.
- Yoga. Promotes physical and mental relaxation (except for complex asanas).
- Fitball. Exercises performed on a special ball. Helps reduce blood pressure, which is a constant symptom with high glucose levels, improves overall well-being, and reduces the load on the lower back.
Symptoms of abnormalities
If blood sugar levels increase, this is always accompanied by specific symptoms. However, many do not pay due attention to them, which ultimately leads to complications for the woman and her child.
Any changes in condition should be taken into account to rule out diabetes mellitus during pregnancy.
So, if blood glucose is increased during pregnancy, a woman develops a constant, hypertrophied feeling of hunger and complaints of frequent urge to urinate. In addition, clinical manifestations are expressed in a persistent feeling of thirst, constant weakness and elevated blood pressure. In order to eliminate the symptoms presented, it is recommended to understand the reasons for the increase in sugar levels.
Associated symptoms
If the carbohydrate balance in the blood of a pregnant woman slightly exceeds the permissible values, she does not experience any negative manifestations. Often, pathology is detected only during the next visit to the doctor.
But if glucose shows high values for quite a long time, the expectant mother will notice the following symptoms:
- thirst torments constantly. No matter how much a woman drinks liquid, she wants more and more;
- the urge to urinate becomes more frequent;
- vision decreases;
- often want to eat something sweet;
- bad feeling.
If you detect at least two of the listed symptoms, you should report them to your doctor.
You don’t need to do anything yourself; you can harm not only yourself, but also the baby.
Insulin therapy
You can lower blood sugar during pregnancy with insulin; tableted glucose-lowering drugs are contraindicated for expectant mothers. If a woman had insulin-dependent diabetes mellitus before pregnancy, her body's need for insulin increases with each trimester of pregnancy. That is why it is very important to monitor the glycemic level as often as the doctor recommends, in order to change the dose of the drug at the slightest deviation.
Pregnant women with mild gestational diabetes can regulate their blood sugar levels with diet. However, such recommendations should be given by an endocrinologist.
If the doctor sees that there is a threat to the health of the mother or fetus, the woman will be transferred to insulin therapy. As for folk remedies for lowering sugar, resorting to them during pregnancy is extremely dangerous.
In an expectant mother, the rate of development of hypoglycemia, ketoacidosis and other complications of diabetes is much higher than in non-pregnant patients.
Medication assistance
Outside of pregnancy, medications that lower blood sugar levels are used to control diabetes. The use of appetite suppressants is also practiced. While expecting a baby, such medications are not prescribed. The use of these drugs negatively affects the development of the fetus and can lead to undesirable consequences.
Insulin is used to control blood sugar levels during pregnancy. The dosage is selected individually. It is important that after using insulin the woman’s condition does not worsen and her sugar remains within normal limits.
Criteria for compensated diabetes mellitus in pregnant women:
- fasting glucose 3.3-5.5 mmol/l;
- glucose after meals – 5.0-7.8 mmol/l;
- glycated hemoglobin less than 6.5%.
Blood sugar levels need to be monitored daily several times a day. Measurements are taken before meals, 2 hours after meals and before bedtime. To determine blood sugar, you should purchase a portable glucometer. Based on the data obtained, the required insulin dosage is calculated.
Manifestations and consequences
Constantly elevated blood sugar makes itself felt clinically with symptoms such as:
- thirst;
- frequent and copious urination;
- weakness;
- constant feeling of hunger (sometimes vice versa);
- itching in the urethra (with glucosuria);
- increased blood pressure.
The final diagnosis is made after laboratory tests. For pregnant women, fasting blood sugar in the range of 3.3-6.10 mmol/l is considered normal. Two hours after loading with carbohydrate foods, it should not exceed 6.99 mmol/l. Detection of sugar in the urine (glucosuria) indicates hyperglycemia above 10 mmol/l.
The opposition of hormones (insulin and estrogens) can negatively affect the health of not only the mother, but also the fetus, if during pregnancy the woman does not monitor the tests and do everything possible to reduce the glucose level in the bloodstream.
Uncontrolled gestational diabetes can cause premature birth and diabetic fetopathy, or “fetal feeding.” Such a child is born with high weight and disproportionate development (large tummy, thin limbs); the newborn often has jaundice and respiratory system disorders, as well as hypoglycemia. These children need constant supervision.
Nutrition for the expectant mother
It is recommended to eat small portions to prevent overeating. Throughout the whole day, a woman should have three main meals and two snacks, namely second breakfast and afternoon snack. After dinner, it is permissible to drink 100 ml of kefir or milk two hours later, and also, for example, eat half an apple.
.
It will be very important to exclude fatty foods, carbohydrate-rich foods, and fried foods from your diet. It will be equally important to exclude all products that fall into the fast food category. As you know, the presented items are sold after industrial processing, and therefore provoke an increase in glycemia. There are other ways to lower blood glucose levels:
- use names that contain fiber. It is very important for a pregnant woman to include at least 25 grams in her diet. presented complex carbohydrate, because it enhances the absorption of glucose and fat into the blood;
- The ratio of unsaturated fats should not be more than 10% in the daily diet. It is recommended, for example, to avoid eating sausages, frankfurters, smoked products, and fatty meats;
- It is preferable to steam food or predominate boiled and stewed dishes in the daily diet.
It is strongly recommended to consume at least one and a half liters of liquid per day, including plain water. Adding fruits and vegetables to your diet will be beneficial. Thus, the problem of high sugar during pregnancy deserves special attention. A woman who wants to have a healthy baby and maintain her health is advised to monitor her glucose levels and other vital signs for nine months.
Signs and symptoms of diabetic foot. Prevention of the initial stage